病患五脏已夺。神明不守。声嘶者死。病患循衣缝胆言者不治。
病患阴阳俱绝。掣衣撮空。妄言者死。病患妄语错乱及不能语者。不治。热病者可治。
病患阴阳俱绝。失音不能小言者。三日半死。病患两目 有黄色起者。其病方愈。
病患面黄目青者不死。青如草兹者死。病患面赤目黄者不死。赤如 者死。
病患面黄目白者不死。白如枯骨者死。病患面黄目黑者不死。黑如煤者死。
病患面目俱等者不死。病患面黑目青者不死。
病患面青目白者死。
病患面赤目青者。六日死。病患面黄目青者。九日必死。(是谓乱经。饮酒当风。邪入
胃经。胆气妄泄。目则为青。虽有天赦。不可复生。)
病患面赤目白。十日死。忧恚思虑。心气内索。面色反好。急求棺 。
病患面白目黑者死。此谓荣华已去。血脉空索。病患面黑目白。八日死。肾气内伤。病
因留积。
病患面青目黄者。五日死。
病患着床。心痛气短。脾竭内伤。百日复愈。(能起彷徨。因坐于地。其立倚床。能治
此者。可谓神良。)
病患面无精彩。若上气不受饮者。四日死。病患目无精光。及齿牙黑色者。不治。
病患口张者。三日死。病患耳目及颧颊赤者。死在五日中。
病患黑色出于额上发际下鼻脊两颧上者。亦死在五日中。
病患及健人黑色。若白色起入目及口鼻者。死在三日中。病患及健人。面忽如马肝色。
望之如青。近之如黑者死。
病患面黑。目直视。恶风者死。病患面黑唇青者死。
病患面青唇黑者亦死。病患面黑。两胁下满。不能自转反者死。
病患目不回。直视肩息者。一日死。病患阴结阳绝。目精脱。恍惚者死。
病患阴阳竭绝。目眶陷者死。病患眉系倾者七日死。
病患口如鱼口。不能复闭。而气出多不返者死。病患耳目口鼻。有黑色起入于口者。必
死。
病患唇青。人中反者。三日死。病患唇反。人中满者死。
病患唇口忽干者不治。病患唇肿齿焦者死。
病患齿忽变黑者。十三日死。病患舌卷卵缩者必死。
病患汗出不流。舌卷黑者死。病患发直者。十五日乃死。
病患发如干麻。善怒者死。病患发与眉冲起者死。
病患爪甲青者死。病患爪甲白者不治。
病患手足爪甲下肉黑者。八日死。病患荣卫竭绝。面浮肿者死。
病患卒肿。其面苍黑者死。病患手掌肿无文者死。
病患脐肿反出者死。病患阴囊茎俱肿者死。
病患脉绝口张足肿者。五日死。病患足跗肿。呕吐头重者死。
病患足跗上肿。两膝大如斗者。十日死。病患卧。遗尿不觉者死。
病患尸臭者。不可治。肝病皮白。肺之日庚辛死。
心病目黑。肾之日壬癸死。脾病唇青。肝之日甲乙死。
肺病烦赤目肿。心之日丙丁死。肾病面肿唇黄。脾之日戊己死。
青欲如苍碧之泽。不欲如蓝。赤欲如白裹朱。不欲如赭。
白欲如鹅羽。不欲加盐。黑欲如重漆。不欲如炭。
黄欲如罗裹雄黄。不欲如黄土。
病人五脏精气已极度衰竭,神志不能内守。声音嘶哑的,预后不良,多致死。
病人手循衣缝、胡言乱语的,属于不治之症。
病人阴阳之气俱绝,出现拉扯衣物、两手空抓(撮空理线)、胡言乱语的,预后不良,多致死。
病人胡言乱语、神志错乱以及不能言语的,属于不治之症;但如果是热病导致的此类症状,尚可治疗。
病人两目眼角出现黄色色泽的,其病即将痊愈。
病人面色黄、目色青的,不死;但若青色如枯草般晦暗无光的,则死。
病人面色赤、目色黄的,不死;但若红色如赭石般晦暗的,则死。
病人面色黄、目色白的,不死;但若白色如枯骨般干枯的,则死。
病人面色黄、目色黑的,不死;但若黑色如煤炭般漆黑的,则死。
病人面目颜色正常协调的,不死。
病人面色黑、目色青的,不死。
病人面色青、目色白的,死。
病人面色赤、目色青的,六日后死亡。(这是因为经脉紊乱,因饮酒当风,邪气侵入胃经,导致胆气妄泄,目色呈现青色。即使有上天赦免,也不可再生。)
病人面色赤、目色白的,十日后死亡。因忧恚思虑,心气内部枯竭,但面色反而显得红润,此时应紧急准备棺木。
病人面色黑、目色白的,八日后死亡。这是肾气内部受伤,病因留滞积聚所致。
病人面色青、目色黄的,五日后死亡。
病人卧床不起,心痛、气短,脾脏精气竭尽、内部受损的,百日后可恢复痊愈。(若能起身徘徊,继而坐于地上,站立时倚靠床铺,能治愈此症的医生,可称为神医良医。)
病人面无神采,若有上气冲逆、不能受纳饮食的,四日后死亡。
病人目中无精光,以及牙齿变黑的,属于不治之症。
病人口张不开或张口合不拢的,三日后死亡。
病人耳、目及颧颊部发红的,五日内死亡。
病人黑色从额头发际下、鼻梁脊、两颧上部出现的,也死于五日内。
病人及健康人若出现黑色,或者白色进入眼目及口鼻部位的,三日内死亡。
病人及健康人,面色忽然像马肝色一样,远看发青,近看发黑的,死。
病人面色黑,眼睛直视不动,恶风的,死。
病人面色黑、嘴唇青的,死。
病人面色青、嘴唇黑的,也死。
病人面色黑,两胁下胀满,不能自行翻身转侧的,死。
病人眼球不转动,直视前方,呼吸时肩膀耸动(肩息)的,一日后死亡。
病人眉间系带下垂倾斜的,七日后死亡。
病人口唇张开如鱼嘴,不能闭合,气息只出不进、无法返回的,死。
病人耳、目、口、鼻有黑色进入口内的,必死。
病人嘴唇反卷,人中穴部位饱满的,死。
病人口唇忽然干燥的,属于不治之症。
病人牙齿忽然变黑的,十三日后死亡。
病人舌体卷缩、睾丸内缩的,必死。
病人出汗但不流动,舌体卷缩发黑的,死。
病人头发直立的,十五日后死亡。
病人头发干枯如麻,容易发怒的,死。
病人头发与眉毛同时竖起冲起的,死。
病人指甲青色的,死。
病人指甲白色的,属于不治之症。
病人手足指甲下的肉发黑的,八日后死亡。
病人营卫之气竭绝,面部浮肿的,死。
病人突然浮肿,面色苍黑的,死。
病人手掌肿胀、掌纹消失的,死。
病人肚脐肿胀外突的,死。
病人阴囊和阴茎都肿胀的,死。
病人足背上肿胀,两膝肿大如斗的,十日后死亡。
病人卧睡时,遗尿而不自知的,死。
病人身体散发尸臭味的,不可治疗。
肝病者若皮色白,在庚辛日(金旺之日)死亡。
心病者若目色黑,在壬癸日(水旺之日)死亡。
脾病者若唇色青,在甲乙日(木旺之日)死亡。
青色应当像苍碧色那样润泽,不应当像蓝色那样枯暗。
红色应当像白布包裹朱砂那样红润,不应当像赭石那样暗红。
白色应当像鹅羽毛那样洁白,不应当像盐那样惨白。
黑色应当像重漆那样黑亮,不应当像炭那样枯黑。
黄色应当像丝罗包裹雄黄那样明润,不应当像黄土那样枯黄。
If the essence of the five Zang organs is exhausted and the Shen (Spirit) cannot be retained, hoarseness of voice indicates death.
If a patient grasps at the seams of their clothing and speaks incoherently, it is an untreatable condition.
If Yin and Yang Qi are both exhausted, manifesting as pulling at clothes, picking at empty air (picking at the void), and speaking deliriously, death ensues.
If a patient speaks deliriously, is mentally confused, or unable to speak, it is generally untreatable; however, if this occurs in a Heat disease, it may be treatable.
If Yin and Yang Qi are both exhausted, resulting in loss of voice and inability to speak softly, death will occur in three and a half days.
If yellow color appears at the corners of the eyes, the illness is about to heal.
If the complexion is yellow and the sclera/eyes are green/blue, the patient will not die. However, if the green/blue color is dull like dead grass, death ensues.
If the complexion is red and the eyes are yellow, the patient will not die. However, if the red color is dark like ochre, death ensues.
If the complexion is yellow and the eyes are white, the patient will not die. However, if the white color is dry like withered bone, death ensues.
If the complexion is yellow and the eyes are black, the patient will not die. However, if the black color is pitch-black like coal, death ensues.
If the facial features and eye colors are harmonious, the patient will not die.
If the complexion is black and the eyes are green/blue, the patient will not die.
If the complexion is green/blue and the eyes are white, death ensues.
If the complexion is red and the eyes are green/blue, death occurs after six days. (This is called "disordered meridians," caused by drinking alcohol while exposed to wind, allowing pathogenic factors to enter the Stomach meridian, causing reckless leakage of Gallbladder Qi, resulting in green/blue eye color. Even with heavenly pardon, life cannot be restored.)
If the complexion is red and the eyes are white, death occurs after ten days. Due to worry, anger, and overthinking, Heart Qi is internally depleted, yet the complexion appears unusually good; prepare a coffin immediately.
If the complexion is white and the eyes are black, death ensues. This signifies that prosperity has departed and blood vessels are empty and depleted.
If the complexion is black and the eyes are white, death occurs after eight days. This indicates internal injury to Kidney Qi, with pathogenic factors lingering and accumulating.
If the complexion is green/blue and the eyes are yellow, death occurs after five days.
If a patient is bedridden, suffers from heart pain and shortness of breath due to exhaustion and internal injury of the Spleen, they may recover after one hundred days. (If they can rise and pace, then sit on the ground, and stand leaning against the bed, a physician who can cure this is considered a divine healer.)
If a patient lacks luster in their face, suffers from rebellious Qi preventing the intake of fluids, death occurs after four days.
If a patient's eyes lack brilliance, or teeth turn black, it is an untreatable condition.
If a patient's mouth remains open, death occurs after three days.
If the ears, eyes, and cheekbones are red, death occurs within five days.
If black color emerges from below the hairline on the forehead, along the nasal bridge, and on the upper cheekbones, death also occurs within five days.
If a patient or even a healthy person exhibits black color, or white color entering the eyes and nose, death occurs within three days.
If a patient or healthy person suddenly has a complexion like a horse's liver—looking green from afar and black up close—death ensues.
If a patient has a black complexion, fixed staring eyes, and aversion to wind, death ensues.
If a patient has a black complexion and blue lips, death ensues.
If a patient has a green/blue complexion and black lips, death ensues.
If a patient has a black complexion, fullness under both hypochondria, and inability to turn over independently, death ensues.
If a patient's eyes do not move, stare straight ahead, and breathe with shoulder movement (shoulder breathing), death occurs after one day.
If Yin is bound and Yang is severed, with protruding eyeballs and mental confusion, death ensues.
If Yin and Yang Qi are exhausted, with sunken eye sockets, death ensues.
If the connection between the eyebrows tilts downward, death occurs after seven days.
If the mouth opens like a fish's mouth and cannot close, with Qi exiting but not returning, death ensues.
If black color enters the mouth from the ears, eyes, nose, or mouth itself, death is certain.
If the lips are blue and the philtrum is inverted or shortened, death occurs after three days.
If the lips are everted and the philtrum is full, death ensues.
If the lips and mouth suddenly become dry, it is an untreatable condition.
If the lips are swollen and teeth are scorched, death ensues.
If teeth suddenly turn black, death occurs after thirteen days.
If the tongue curls inward and the testicles retract, death is certain.
If sweat does not flow and the tongue curls and turns black, death ensues.
If hair stands straight, death occurs after fifteen days.
If hair is dry like hemp and the patient is prone to anger, death ensues.
If hair and eyebrows stand upright simultaneously, death ensues.
If fingernails are blue, death ensues.
If fingernails are white, it is an untreatable condition.
If the flesh under the fingernails/toenails is black, death occurs after eight days.
If Ying and Wei Qi are exhausted and the face is edematous, death ensues.
If sudden edema occurs with a pale-black complexion, death ensues.
If the palms are swollen and palm lines disappear, death ensues.
If the umbilicus swells and protrudes, death ensues.
If the scrotum and penis are both swollen, death ensues.
If pulse is absent, mouth is open, and feet are swollen, death occurs after five days.
If the dorsum of the foot is swollen, accompanied by vomiting and heaviness of the head, death ensues.
If swelling on the dorsum of the foot is accompanied by knees as large as a dou (a unit of measure), death occurs after ten days.
If a patient urinates in bed without awareness while sleeping, death ensues.
If the body emits a corpse-like odor, it is untreatable.
In Liver disease, if the skin is white, death occurs on Geng-Xin days (Metal days).
In Heart disease, if the eyes are black, death occurs on Ren-Gui days (Water days).
In Spleen disease, if the lips are blue, death occurs on Jia-Yi days (Wood days).
In Lung disease, if there is irritability, redness, and swollen eyes, death occurs on Bing-Ding days (Fire days).
In Kidney disease, if the face is swollen and lips are yellow, death occurs on Wu-Ji days (Earth days).
Green should resemble the luster of dark jade, not the dullness of indigo.
Red should resemble cinnabar wrapped in white silk, not the dark hue of ochre.
White should resemble goose feathers, not the stark whiteness of salt.
Black should resemble heavy lacquer, not the dullness of charcoal.
Yellow should resemble realgar wrapped in silk, not the dullness of yellow earth.